| Mr Michael Louis Scicchitano Sr, PT | |
|
3 Colgate Street, Port Jefferson Station, NY 11776 | |
| (631) 457-9158 | |
| Not Available |
| Full Name | Mr Michael Louis Scicchitano Sr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Geriatrics |
| Location | 3 Colgate Street, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251G0304X | Physical Therapist - Geriatrics | 019032 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Louis Scicchitano Sr, PT 3 Colgate St, Port Jefferson Station, NY 11776-2803 Ph: (631) 457-9158 | Mr Michael Louis Scicchitano Sr, PT 3 Colgate Street, Port Jefferson Station, NY 11776 Ph: (631) 457-9158 |
South Shore Wellness Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1041 Route 112, Port Jefferson Station, NY 11776 Phone: 631-828-4545 Fax: 631-828-4552 | |
Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5380 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-474-4096 Fax: 631-474-5299 | |
Mrs. Wajiha Sheikh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Building 6 Suite 30, Port Jefferson Station, NY 11776 Phone: 631-331-2204 | |
Gretchen Elizabeth Haase, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5380 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-474-4096 Fax: 631-474-5299 | |
Beth Cocci, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 293 Woodhull Ave, Port Jefferson Station, NY 11776 Phone: 610-256-1989 | |
Maria Fatima Ferreira, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Norwood Ave, Port Jefferson Station, NY 11776 Phone: 631-512-2237 | |
Samantha Young, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776 Phone: 631-751-3000 |